| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.18 | $84.18 | $84.18 | |
Aetna
| Professional | $70.26 | $70.26 | $84.18 | |
BCBS
| Professional | $105.41 | $123.35 | $125.48 | |
Cigna
| Professional | $128.25 | $129.53 | $162.88 | |
Medica
| Facility | $70.26 | $109.78 | $535.95 | |
Medica
| Professional | $48.36 | $72.70 | $109.34 | |
United
| Professional | $37.78 | $103.85 | $110.75 |